Meet Our Heroes
At our Children's every child receives world-class care, from our youngest, littlest patients to our oldest, tallest patients. With “Meet Our Heroes” Cleveland Clinic Children’s is able to spotlight our bravest patients and most compassionate caregivers. Highlighting their successes and contributions affirms our commitment to the mission of providing compassionate, family centered, world-class pediatric care, working to restore children and adolescents to health so that they can return to their everyday activities as soon as possible.
Meet Our Hero - Elle
As 6-year-old Elle Bodmann — who had just received a hearing aid (customized with color and sparkles) — walked out to the car with her parents, they basked in the warm summer day and in the comfort that their youngest daughter could now fully experience and engage in the world around her.
This became startlingly clear when Elle announced, “Mommy, I can hear traffic now.”
Thanks to technology, Elle’s world had opened up and she could hear normally, “which gave us such relief,” Mr. Bodmann says, “because we realized that everything really was going to be OK.”
Just two months earlier, Elle had been diagnosed with hearing loss.
“She passed her newborn and kindergarten screenings,” Mrs. Bodmann says. “It wasn’t until her class was learning about the five senses that she told us she had difficulty hearing in her left ear.”
In May 2012, the Bodmanns were referred to Cleveland Clinic’s Pediatric Hearing Management Clinic. After computed tomography imaging, Elle was diagnosed with an enlarged vestibular aqueduct. Because her duct is too big, her inner ear has too much pressure. For this reason she is highly likely to have increased hearing loss and balance changes. Elle currently has mild to moderate hearing loss in her left ear and hearing within normal limits in her other ear.
“The team at Cleveland Clinic gave us comprehensive care in one day,” Mr. Bodmann says. “Home, medical and school needs were starting to be coordinated. Beyond the audiologist meetings, we talked to authorities on disability laws, who showed us how to be advocates for Elle. And we learned that helping her hear better was the easy part; other things would be more difficult.”
Adds Mrs. Bodmann: “Our hearing health team assured us that Elle would be fine, and she will never live in a silent world because technology will likely always be a few steps ahead of her needs.”
In June, Elle received her hearing aid, and a whole new world opened up to her.
“Elle’s life has been immeasurably improved by her hearing aid,” Mrs. Bodmann says. “Unfortunately, we found that many insurance companies don’t cover the cost of hearing aids. It depends on the type of hearing loss, its severity and other factors. Under Ohio law, a unilateral hearing loss isn’t considered a disability.”
This frustration motivated the Bodmanns to try to raise enough money to buy a hearing aid for a child whose family couldn’t afford one.
They created a Personal Fundraising Page through Cleveland Clinic’s website and, at their annual holiday party, asked guests to make a donation to the hearing aid fund in lieu of bringing hostess gifts. Today, they’ve raised $3,100, and donations are still coming in.
“We’re grateful for the care Elle received, and we feel good about what her future holds,” says Mr. Bodmann.
Adds Mrs. Bodmann: “We don’t lose sight of the fact that there was a period of mourning following Elle’s diagnosis. It ended when she was so happy because she could hear. I can’t imagine a parent not being able to help their child because they simply didn’t have the money.”
Read About Our Past Heroes
Anthony's parents share the story of their "Miracle Baby".
Anthony was born on July 13, 2010 at 12:15 a.m. As any new parents we were extremely delighted to welcome our second child and everything was going as expected. About a half hour later we were noticing that his color was slightly blue and the nurse wanted the doctors to have a look and they took Anthony away. The next time we saw our son was in the Intensive Care Unit of Tri-Point Medical Center awaiting transport to Cleveland Clinic.
He was now battling for his life as a result of Congenital Heart Disease. We can’t give justice in such a short little story to describe to you what he went through, but what we can tell you is that God and advancements in technology kept him here. During this time Anthony underwent two major open heart surgeries struggling to recover from both with numerous heart catheterizations. Anthony fought for his life every single day struggling to survive for six months until the night before New Year’s Eve of 2010 when an event occurred.
Doctors had now informed us that our son was not going to make it, and Anthony began to rapidly deteriorate. We really don’t know how to describe to you what happened next, but let’s just leave it that Anthony had different plans.
With the wonderful help from all the doctors to every single one of the Pediatric Intensive Care Unit nurses at Cleveland Clinic Children's he was eventually transferred home and continues to improve today. There will need to be additional heart surgeries as his battle continues and he will need to strongly rely on advancements in technology. There is no way to avoid the emotional toll this places on the families involved; however, extended research and funding will allow more parents like ourselves to continue to create memories. Day and night he lives and enjoys every minute of every day as the happiest a child could be and is no different than any other child aside from the little scar on his chest. Anthony’s life has inspired many people, and most certainly ours. We truly are the proud parents of Anthony Panzarella our “Miracle Baby”.
Vivian’s mom shares the story of this remarkably brave little girl.
Vivian has Heterotaxy RAI (right atrial isomerism) with Asplenia, Single Ventricle, Right Dominant AtrioVentrical Canal (AVC), Total Anomalous Pulmonary Vein Return (TAPVR), Pulmonary Atresia, and Pulmonary Vein Stenosis (PVS) in all 4 veins. She also has Malrotation and developed a colon stricture. She has had three open heart surgeries, Blalock–Taussig (BT) shunt and a TAPVR repair at three hours old, sutureless repair (for the PVS) at three months old and a bi-directional Glenn at seven months old. In addition she has had six heart catheterizations and two bowel surgeries.
“We were given a 95% mortality rate for the first year of her life,” says Vivian’s mother. “She has overcome the odds, but her fight is far from over. She will require additional catheterizations for many years and a Fontan procedure around four years old. Despite everything she is one of the happiest toddlers you will ever meet. We couldn’t imagine life without her and hope we never will.”
When Julianna was six, a diagnosis of scoliosis left the active elementary student asking “why me?” But she didn’t allow herself to get caught up in self-pity. Instead, Julianna, now nine, heads a local support group for girls just like her.
With a spinal curve of just 23-degrees, Julianna’s orthopaedic doctor, Dr. Ryan Goodwin, said surgery was not needed. Instead, at age seven, he fitted her with a back brace to wear at night.
Looking to connect with other girls who understood the braces and pain that came with a scoliosis diagnosis, Julianna began searching for support groups online. Information about a national organization called “Curvy Girls” popped up. The organization, which was started by a New York teen with scoliosis, had several chapters across the country, but the closest one to Julianna was more than two hours away in Columbus, Ohio.
Instead of making the trek to Columbus, Julianna and a friend decided to start their own Curvy Girls chapter in their hometown, Cleveland. Now, just three months in, the group has already grown to seven members — ranging in age from eight to 15.
At each monthly meeting, Julianna and her co-leader create a meeting agenda and hold an open forum where members can discuss the unique challenges of having scoliosis. At the group’s second meeting, the girls had the special opportunity to Skype with the founder of Curvy Girls, Leah Stoltz. Leah, impressed with the group’s speedy growth, offered words of encouragement and advice.
But the meetings don’t just benefit the girls, Julianna’s mother says. “The moms get a lot out of it, too,” says Marie. While the girls talk, the parents also have the chance to discuss their challenges and triumphs in parenting a child with scoliosis.
To learn more about Curvy Girls Cleveland, email Julianna and Marie Browning at CurvyGirlsCleveland@gmail.com.
Cole Peterson has had nearly as many surgeries as he’s had birthdays. At just 10, the Taekwondo champ from Ohio has gone under the knife eight times to correct his birth defect, a unilateral cleft lip and palate.
At four, Cole expressed an interest in martial arts after reading the book There Are Monsters Everywhere by Mercer Mayer. So his parents, Christina and Dave, enrolled him in classes at the Mentor American Taekwondo Association (ATA) studio. Early on, the Petersons could tell Cole had a special talent.
In July 2011, Cole underwent his sixth surgery — a bone graft to repair his cleft palate— with Dr. Frank Papay, Chairman of Dermatology and Plastic Surgery at Cleveland Clinic. Bone was harvested from Cole’s hip and inserted in his cleft palate. His right nostril, which had narrowed over several years, was reconstructed as well.
Following the surgery, Cole was restricted in movement and asked to remain immobile for six to eight weeks while his brittle hip healed. Two weeks after surgery, the Petersons received disappointing news — Cole’s body was rejecting the bone graft and the surgery had to be re-performed. This set Cole’s recovery process back another few weeks. By October, Cole was finally given the go-ahead by doctors to resume normal activity, and he returned to the studio to train with hopes of making it to the 2012 ATA World Championships.
Only four months after surgery, Cole participated in a tournament, taking first place in forms, weapons, and sparring.
In late November, Cole faced yet another set back: a more than two-month bout of mononucleosis. Once cleared by doctors to return to ATA, Cole resumed training and went on to compete and place in several more tournaments.
Then, one week before World Championships, Cole had to undergo surgery one last time. A baby tooth imbedded in the palate next to his bone graft compromised the palate’s ability to heal. The tooth was extracted and the following day, Cole and his dad drove 14 hours from Cleveland to Little Rock, Arkansas, for Championships.
On June 22, 2012, Cole competed in the top ten category for forms and weapons (8 and under division) and took home the World Championship title in sparring. In May of this year, Cole traveled to Chicago to compete in the ATA District Championship. He took first place in sparring and will compete for a second world title in sparring (9 to 11 division) in Little Rock, Arkansas on July 12, 2013.
Last year, child life specialists across the country celebrated the 30-year anniversary of their growing profession, which is still considered a relatively small field comprised of approximately six-thousand caregivers in larger U.S. hospitals and health systems.
“We’re translators,” says Shannon Sonnhalter, Director of Child Life at Cleveland Clinic Children’s and a child life specialist of 17 years. “Hospitals are large; the experiences there can be scary and stressful, so we help parents and children to navigate this unknown territory. We help translate medical terminology into layman’s terms and we empower people to establish an element of control when so much seems out of their hands.”
When Shannon was a child, this group of caregivers dedicated to supporting families throughout a hospital stay was nonexistent.
“I was 10 and my brother was eight, and he broke his leg in a bicycle accident,” Shannon recalls. Her brother’s injury was severe, and as a result, he was hospitalized for six weeks with his leg in traction, suspended in a splint above him as he laid in bed.
“My mother had to stay at home with three small kids and my father, a firefighter, was at work the majority of the time. So that left my brother, hospitalized at eight in a non-pediatric unit, to fend for himself. This was before the days of family-centered care, and parents were not allowed to stay the night with their child, accompany them to the OR, or visit them in recovery post-surgery.”
Bored and lonely, Shannon’s brother called home often and at all hours of the night, even dialing his father at the fire station.
Shannon first heard of the Child Life profession a decade after her brother’s experience when she was studying early childhood education at Bowling Green State University. A classmate of hers in the nursing program mentioned it to her, and she switched majors immediately to chart a new course with a degree in Child Life.
“My first thought was of my brother in the hospital — teary at night, alone in a big, dark hospital room,” Shannon says.
Today, Shannon runs the Child Life Program of 10 specialists at Cleveland Clinic Children’s, but she has not left teaching far behind.
“Child Life specialists really are ‘hospital teachers,’” Shannon says. “We help children understand a diagnosis, a treatment process or a surgical procedure and we help the whole family to feel empowered to ask questions about their medical care.”
Inspired by her own family, today Shannon works effortlessly to provide compassionate care to everyone who comes through the doors of Cleveland Clinic Children’s.
Every year on July 6, Breanna Sprenger celebrates her birthday the same way: She asks her parents to take her to Cleveland Clinic to visit certified nurse practitioner Lucy Andrews-Mann.
The outgoing fifth-grader had 16 surgeries at Cleveland Clinic, and Ms. Andrews-Mann was there for most of them.
Between the surgeries and her doctor’s appointments, 10-year-old Breanna has spent a good portion of her life at Cleveland Clinic, zipping around in her wheelchair, enjoying the company of specialists from Child Life Services and searching for therapy dogs to pet. “It’s her second home,” says her mom, Carrie Sprenger.
Breanna is equally at home in a swimming pool. In February, Breanna won two gold medals, a silver and a bronze in backstroke and freestyle swimming at the Jimi Flowers Classic Disability Swim Meet, held at the U.S. Olympic Training Center in Colorado Springs. The competition, sponsored by the U.S. Paralympics, was Breanna’s first. Her performance qualified her for the Paralympic trials this summer in Bismarck, N.D.
Breanna was born without legs and with just one arm. She swims by moving her entire torso, dolphin-like. “People should know, don’t ever underestimate a person that has a disability,” she says. “Because they will prove you wrong.”
Poised and precocious, Breanna says her goals in life are “to be an Olympic swimmer, to be a Child Life specialist for Cleveland Clinic Children’s, to find a cure for cancer.”
Her determination has been evident since the very beginning: Breanna wasn’t expected to survive. Prenatal tests showed that she had numerous lifethreatening problems that included a hole in her heart and another in her brain, and she appeared to be missing a stomach as well, though that later proved incorrect. A spontaneous vascular interruption at five or six weeks of pregnancy had interfered with Breanna’s development.
Breanna’s mirthful laugh bubbles up from deep within her. She enjoys her life and “all the great people that are in it,” she says. Among those great people are her mother; her father, John Sprenger; and, even though she rolls her eyes in typical big-sister fashion, her siblings, Paighten, 7, and Chase, 5.
Forever the entertainer — she loves cheerleading and playing in the school band — Breanna was in her element when she appeared onstage with Delos M. Cosgrove, MD, CEO and President of Cleveland Clinic during part of his recent State of the Clinic address. The physicians and other caregivers in the audience gave her a standing ovation, which, says Breanna, made her happy.
It made her mom cry. “It was very emotional for me as a mother,” says Carrie. “I could see out in the auditorium her doctors … her surgeons … Lucy. I was bawling.”
So what advice does Breanna have for other children?
Ms. Andrews-Mann remembers Breanna at a mere 4 years old, “negotiating with me about doing something,” the nurse practitioner says. “She is becoming a lovely young woman with all the traits you hope for: strength, determination and a love for living. She is a force to be reckoned with!”
“You may have cancer. Don’t let it have you. NEVER, EVER let it have you.”
Bold words from a self-assured 14-year-old patient, Riley Pearson. They are the opening lines of a booklet called “Home Sweet Hospital” that Riley wrote — and now hands out to other patients requiring extended stays at Cleveland Clinic Children’s.
Riley was diagnosed with a cancerous bone tumor in her left leg and knee in December 2010. She underwent a yearlong course of inpatient chemotherapy and eight surgeries. Her grandmother bought her soft purple and lime-green sheets to use while in the hospital.
“Riley wheeled in big suitcases for every admission, one of which was filled with her own bedding,” says Sarah Thompson, a Child Life specialist at Children’s. “It made her more comfortable throughout her hospitalizations.” During her final week of chemotherapy, the enterprising teenager had an idea: She would provide a package with bedding, a dream catcher, soft tissues, lip balm and a “survival guide” for older children and teens facing long hospital stays.
“Home Sweet Hospital” is divided into four sections: you, family, faith and hospitals. It’s filled with no-nonsense advice. “Don’t expect your brothers and sisters to stay home and do nothing because you are sick. … If you never prayed before, God won’t be upset if now is the first time. … If you want something from a nurse, ask for it. They cannot read your mind.”
Riley’s goal was to pass along tips, not inspirational messages. “You get thrown into everything so fast,” says Riley. “I thought if kids had something that explained what they would face, it would make things a bit easier.” Her messages resonate with patients and families: Ms. Thompson says the mother of one of her patients recently expressed gratitude for the perspective Riley shares in the booklet.
“Hang in there,” Riley writes. “This will all be a memory for you one day and the memories aren’t all bad.” Her gift helps ensure that.
Lynn Pontius calls her daughter Meadow “the feel-good medical story of the year.”
During a routine wellness examination, Deborah Lonzer, MD, Chair of the Department of Community Pediatrics for Cleveland Clinic Children’s, detected a murmur while listening to Meadow Pontius’ heart. That catch by Dr. Lonzer’s trained ear led to the diagnosis of a congenital cardiac anomaly and potentially lifesaving open-heart surgery.
And to think, says Lynn Pontius, she almost didn’t take Meadow to Dr. Lonzer. The Pontius family relies on a general practitioner near their Ashtabula, Ohio, home for medical care. But at the insistence of a friend, Mrs. Pontius made an appointment for her daughter with Dr. Lonzer at the Willoughby Hills Family Health Center before Meadow started kindergarten last fall. It was a 45-minute drive to the appointment — a trip Mrs. Pontius is forever grateful she made.
“I was impressed right off the bat because Dr. Lonzer talked directly to Meadow and was very thorough,” says Mrs. Pontius. Dr. Lonzer asked about Meadow’s family and social history before moving on to the physical exam. Halfway through, she listened to Meadow’s heart and heard the murmur. “There are lots of murmurs that kids have that are normal,” says Dr. Lonzer. “I knew this one was not normal, and I wanted Meadow to see a cardiologist.”
Pediatric cardiologist Kenneth Zahka, MD, conducted an echocardiogram and diagnosed Meadow’s sinus venosus atrial septal defect. The 5-year-old had a hole in the membrane between her atria — the chambers that receive blood back into the heart. In addition, the pulmonary veins that return oxygen to her heart were in the wrong place. The condition placed an extra load on Meadow’s heart, which could eventually cause heart rhythm and function problems. Dr. Zahka recommended surgery.
On Aug. 15, 2011, a surgical team at Cleveland Clinic Children’s repaired Meadow’s heart. “Three weeks after the initial exam by Dr. Lonzer, the Cleveland Clinic team had worked their magic!” says Mrs. Pontius. “We now have a child with a normal heart, and Meadow can expect a long and healthy life.”
Helping patients like Meadow is the most rewarding part of Dr. Lonzer’s 19-year career as a pediatrician. “The connections I make with patients are special,” she says. “I don’t feel like someone’s doctor; I feel like an ancillary family member.”
Mrs. Pontius would agree. She heaps praise on everyone at Children’s, from doctors to nursing assistants to Child Life specialists. “When it comes to care,” says Mrs. Pontius, “Cleveland Clinic is absolutely unsurpassed.”
Getting Kids Back in the Game
The ESPN Cleveland and Cleveland Clinic Children's Radiothon spotlights courageous kids who have overcome adversity to get back to what they love doing most. Their stories of courage and compassion inspire us all and motivate Cleveland Clinic Children’s caregivers to help kids get back in the game each day.
When Justin’s play on the football field got progressively worse his sophomore year, his friends and coaches started to notice. Justin was feeling ill for months, but instead of telling someone, he held it in and kept playing. But he couldn’t hide it from his mother, Denise. At the end of the season, she suspected mono and made a doctor’s appointment. What they soon found out shocked them both – Justin had cancer. Acute lymphoblastic leukemia, to be exact, known as ALL.
But in true Justin form, he didn’t let the diagnosis hold him back. He faced chemo head-on and was back on the field in a remarkable 10 months to play his junior year. Next year, Justin will be a senior.
When Gregory was born, he lost the majority of his intestinal track to a disease called total colonic Hirschsprung’s Disease. He had his first surgery as an infant at Cleveland Clinic Children’s, and despite relocating to Cincinnati, Gregory and his mom Sherri continue to make the trip to Cleveland for Gregory’s care. He has more surgeries to come, but is an optimistic and energetic kid. Gregory plays basketball, baseball, is a budding comedian and finds time to run track as much as he can. Gregory recently completed second grade.
Charlie was born with cardiomyopathy – a disease that affects the heart muscle. At three, his health began a rapid decline and he moved in to Cleveland Clinic Children’s. There, a team of doctors, nurses and staff became his extended family and a device called the Berlin Heart became his constant companion.
This device comes in two parts – one inside Charlie, connected to a pump on the outside. It helped keep him healthy until a transplant finally became available. Today, Charlie has a new heart. He's now back home with his mom, dad and brothers.
As a junior, Matt was a standout on his football and basketball teams, and was even being recruited by colleges. But in the summer of 2012, Matt woke up with a horrible headache and was overcome by fits of vomiting. What was happening in Matt’s brain was beyond anything he or his family could imagine. Matt was having a brain aneurysm, which if ruptured, could be deadly. Matt was rushed to Cleveland Clinic where he had surgery with Dr. Mark Bain, who used a coiling method to block off the aneurysm.
Last fall, his recovery was going so well that his doctor cleared him to play basketball. At one tournament, he actually scored the game winning 3-pointer in a championship game.
Within 72 hours of admission to Cleveland Clinic Children’s and being placed on life support, Jaime Bradford received a heart and double lung transplant. Jaime had a history of heart problems and was diagnosed with pulmonary hypertension in seventh grade, but it wasn’t until the day after her 17th birthday that her condition became life threatening. After surgery, Jamie said she feels fantastic.
She used to become breathless just playing her guitar. Now, the 18-year-old goes mall-walking like any other teen.
A teenage girl shouldn’t have yellow eyes. But Christine Tabar was born with biliary atresia — a liver disease where the bile ducts designed to drain bile into the small intestine aren’t functioning properly. When she was eight weeks old, Christine had surgery called a Kasai procedure to reconstruct her liver and create a new bile duct. This was a stopgap measure — a “bridge” that would allow her to strengthen and grow until she was old enough to tolerate a liver transplant, which she received as a teen.
A recent graduate of the Ohio Center for Broadcasting, Christine enjoys working with the Child Life program at Cleveland Clinic Children’s, where she recently dressed up as Cinderella and dropped off books to patients.
Dan was born with cerebral palsy, and though his mother Kathy was unable to hear his voice, she knew it was inside of him. The Schierenbecks took Dan to Cleveland Clinic Children’s Hospital for Rehabilitation where clinical professionals helped them to select a device that would allow Dan to talk via a computerized system. At first, Kathy says Dan only responded to prompts with one word answers. What’s your favorite color, Dan? Red. What do you want to be when you grow up? Astronaut.
One day, the Schiernbecks were at an event for communication devices and Dan’s father found out that John Glenn was in attendance. He asked John if he would speak to Dan for a couple of minutes.
When John Glenn approached Dan, he asked him, “do you know what you want to be when you grow up?” And Dan fired back as quickly as he could, “I want to be an astronaut when I grow up.” It was the first time he had spoken a full sentence.
Today, Dan is a bright teenager who is interested in improving communication devices so that he can help other people learn to find their voices.
Josh was only three years old when he was diagnosed with autism. Josh’s mom, Terri, says when she first heard the diagnosis, she was in denial. Josh wasn’t speaking clearly, but she knew how his brain functioned – she says they were hardwired together from birth. Josh came to the Lerner School for Autism about six years ago, and he’s grown leaps and bounds since.
Josh’s biggest accomplishment to date is that five years ago, he couldn’t speak full sentences or read. Today, Josh is one of the most talkative young men you’ll meet.
Courteney, a competitive cheerleader, was diagnosed with scoliosis at 13. Immediately, her family turned to Cleveland Clinic Children’s orthopaedic surgeons. They opted for surgery that same summer and her surgeon, Dr. Ryan Goodwin, fused the bones of the spine together with the help of bone grafts and used metallic implants to strengthen that bond. But even a serious spine surgery couldn’t keep Courteney from her true passion: cheerleading.
Ten months before Courteney was supposed to be cleared to cheer again, she was back at it – doing everything including back flips.
Braxton & Brayden Fello-Waters»
On April 8, 2012, Kelsey and Jeff Waters’ lives were changed forever. Kelsey was pregnant and their doctor couldn’t find a heartbeat for one of their identical twin boys. The other boy was causing premature labor. The doctor did an emergency c-section at Cleveland Clinic Children’s Special Delivery Unit and their son Braxton Paul Waters was born. The boys were delivered at 30 weeks and 1 day. Brayden, Braxton’s twin, died before delivery.
The Waters’ feel that Cleveland Clinic Children’s nurses and doctors saved Braxton's life and taught them how to care for their premature baby.
PJ was playing touch football with his brothers when a friend fell on his leg. He didn’t have severe pain from the injury, but his mother, Sophia, says he had a noticeable limp. As time passed, the limp didn’t get better and she took him to the ER where an x-ray revealed that PJ had a tumor on his leg. After working with Cleveland Clinic Children’s oncologist Dr. Margaret Thompson, the Williams’ learned that PJ’s tumor was malignant – an osteosarcoma. After month of chemotherapy, PJ celebrated his final treatment in late May.
Every year on July 6th, Breanna Sprenger celebrates her birthday the same way: She asks her parents to take her to Cleveland Clinic Children’s to visit certified nurse practitioner Lucy Andrews-Mann.
The outgoing 11-year-old has had 16 surgeries at Cleveland Clinic, and Ms. Andrews-Mann was there for most of them. Breanna was born without legs and with one partially functioning arm. And while her disability may seem severe, she’s never let it hold her back. Breanna started aquatic therapy at Cleveland Clinic Children’s when she was just 3-years old, and she’s been in the pool ever since. This year, she was named to the U.S. Paralympic Swim Team. She's the only athlete from Ohio on the 25-athlete roster and she'll compete in the World Championships in Montreal mid-August.